VBS Student Registration (2023)

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Hero Hotline Vacation Bible School (VBS) - Begins July 10, 2022, 5:00 to 7:00 p.m. and ends Friday, July 14, 2023. Click here to become a volunteer this year!

Parent/Guardian Name
*

Parent/Guardian Phone Number
*

Parent/Guardian's Email *

Emergency Contact Name and Phone Number *

Name of Student *

Student's Date of Birth *

YYYY

Grade Level (Going Into) *

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Gender *

Male

Female

Non-Binary

Prefer not to say

Any Relevant Allergies or Medical History? If "yes," please describe. If "no" write N/A. *

Is there anything that might limit your child's participation in scheduled activities? If "yes," please describe. If "no" write N/A.
*

By enrolling your child in Mount Vernon First United Methodist Church Vacation Bible School, you give permission to allow leaders to post photos (without student identification) to social media pages and website of the First United Methodist Church.
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Yes

Informed Consent: The staff of the First United Methodist Church will exercise reasonable judgement and care in the program's planning and operation. I understand and agree that neither the First United Methodist Church nor employees will be held liable for injuries resulting from accidents or unanticipated occurrences beyond their control. I also understand and accept that volunteers may assist in operating this program. I request that the First United Methodist Church contact me in case of illness or accident. If I or authorized representative cannot be reached, I authorize the program personnel to seek emergency medical care or to take other actions as they believe necessary in order to protect my child's best interests. If my child requires emergency medical treatment, I agree to pay for any resulting expenses.
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Yes

By typing my name below, I provide consent for my child to participate in Vacation Bible School under the terms described above.
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